Model Sign Up Form

http://plitzs.com/wp-content/plugins/nex-forms

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Model Request Completed and Sent!
We have received your Pre-Registration form. we will get back to you soon within 48 hours.
If you have not had a phone call or email contact after 48 hours then please contact us directly by phone 646.257.4207 or email info@plitzs.com
Thanks!
PLITZS Fashion Marketing
Direct Phone: 646.257.4207
Mobile: 347.776.4485
Email: Info@Plitzs.com
Web: www.Plitzs.com
Pinterest: www.pinterest.com/Plitzsfashion
Facebook: www.facebook.com/PLITZS
Instagram: www.instagram.com/plitzsfashionmarketing
Twitter: www.twitter.com/PlitzsFashionPR
Flicker: www.flickr.com/photos/plitzsfashionmarketing
www.Plitzs.com/nycfashionweek
www.Kidsfashiondemocracy.com
www.Plitzs.com/SwimwearPassionforFashion
www.modeloftheyearcompetition.com
New York City

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http://plitzs.com/wp-admin/admin-ajax.php

http://plitzs.com/model-sign-up-form

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Have You Modeled in a PLITZS Fashion Marketing Show Before?

Yes

No

Model's First Name

Model's Last Name

Model's Age

Model's Gender

Female

Male

If Under 18 Years Old - Parent/Legal Guardian's First Name

If Under 18 Years Old - Parent/Legal Guardian's Last Name

If Under 18 Years Old - Parent/Legal Guardian's Relationship to Model

Mother

Father

Legal Guardian

Mobile Phone

Home or Emergency Phone Number

Email

City

State

Do You Live Outside of the USA?

Yes

No

Country (Only If You Live Outside of the USA)

By clicking "Submit", I have read and agree to PLITZS.com's Privacy Policy, Terms of Service, and the Official Rules